日本呼吸器学会雑誌第46巻第8号
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2 Table1 Five-pointratingdyspneascalethatwas employedinthepneumoconiosisreaserchunit atllandoughhospital(1952) Grade1 Grade2 Grade3 Grade4 Grade5 From Ref.4. Isthepatient sbreathasgoodasthatof othermenofhisown ageandbuildat work,onwalking,andonclimbinghilsor stairs? Isthepatientabletowalkwithnormal menofownageandbuildonthelevelbut unabletokeepuponhilsorstairs? Isthepatientunabletokeepupwithnormalmenonthelevel,butabletowalk aboutamileormoreathisownspeed? Isthepatientunabletowalkmorethan about100yardson thelevelwithouta rest? Isthepatientbreathlessontalkingorundressing,orunabletoleavehishousebecauseofbreathlessness? Table2 DyspneascalemodifiedbyFletcher (1959) Breathlessness(averageinlastwinter) Grade1 Areyouevertroubledbybreathlessness exceptonstrenuousexertion?. Grade2 (Ifyes).Areyoushortofbreathwhenhur ryingonthelevelorwalkingupaslight hil? Grade3 (Ifyes).Doyouhavetowalkslowerthan mostpeopleonthelevel?doyouhaveto stopafteramileorso(orafter1/4hour) onthelevelatyourownpace? Grade4 (Ifyestoeither).Doyouhavetostopfor breathafterwalkingabout100yds.(oraf terafew minutes)onthelevel? Grade5 (Ifyes).Areyoutoobreathlesstoleave thehouse,orbreathlessafterundressing? From Ref.6. Grade Table3 FirstversionoftheMRCdyspnea scale(1959) a. Areyouevertroubledbyshortnessofbreath whenhurringonthelevelorwalkingupa slighthil?(if No,stophere;if Yes,pro ceedtonextquestion.) b. Doyougetshortofbreathwalkingwithother peopleatanordinarypaceonthelevel?(if No,stop here;if Yes,proceed tonext question.) c. Doyouhavetostopforbreathwhenwalking atyourownpaceonthelevel? (If No,stophere;if Yes,proceedtonext question.) d. Areyoushortofbreathonwashingordress ing? From Ref.8. Table4 MRCdyspnoeascale(ATSnews,1982) Degree None Nottroubledwithbreathlessnessexcept withstrenuousexercise. Slight Troubled by shortnessofbreath when hurrying on thelevelorwalking up a slighthil. Moderate Walksslowerthanpeopleofthesameage onthelevelbecauseofbreathlessnessor hastostopforbreathwhenwalkingat ownpaceonthelevel. Severe Stopsforbreathafterwalkingabout100 yardsorafterafew minutesonthelevel. Very severe From Ref.12. Too breathless to leave the house or
3 Table5 MRCdyspnoeascale(BritishNICEguideline,2004) Grade1 Grade2 Grade3 Grade4 Grade5 Nottroubledbybreathlessnessexcept onstrenuousexercise Shortofbreathwhenhurryingorwalk ingupaslighthil. Walksslowerthan contemporarieson levelgroundbecauseofbreathlessness, orhastostopforbreathwhenwalking atownpace. Stopforbreathafterwalkingabout100 m or after a few minutes on level ground Toobreathlesstoleavethehouse,or 激しい運動時を除き, 息切れで困ることはない. 急いで歩いた時, あるいは緩やかな坂道を登った時に息切れを感じる. 息切れのため同年齢の人よりも平地をゆっくり歩く, あるいは, 自分のペースで歩くときでも途中で息継ぎのため止まらなければならない. 平地を約 100m あるいは数分間歩いただけで, 息継ぎのため立ち止まる. 息切れが強くて外出できない, あるいは, 衣服の着脱だけで息切れする. From Ref.15. Table6 MRCdyspnoeascale(ATS/ERS,2004) Grade0 Grade1 Grade2 Grade3 Grade4 nottroubled with breathlessness ex ceptwithstrenuousexercise. troubledbyshortnessofbreathwhen hurryingorwalkingupaslighthil. walksslowerthanpeopleofthesame ageduetobreathlessnessorhastostop forbreathwhenwalkingatown pace onthelevel. stopsforbreathafterwalking100m or afterafew minutesonthelevel. too breathlessto leave the house or 激しい運動時を除き, 息切れで困ることはない. 急いで歩いた時, あるいは緩い坂道を登った時, 息切れして困る. 息切れのため同年齢の人よりもゆっくり歩く, あるいは, 自分のペースで平地を歩くときでも, 息継ぎのため立ち止まらなければならない. 平地を約 100m, あるいは数分間歩いただけで息継ぎのため立ち止まる. 息切れが強くて外出できない, あるいは, 衣服の着脱だけで息切れする. From Ref.18.
4 Table7 ModifiedMRCquestionnaireforassessingtheseverityofbreathlessness(GOLD,2006) Ionlygetbreathlesswithstrenuousexercise. 私は激しい運動時のみ息切れを感じる. Igotshortofbreathwhenhurryingonthe levelorwalkingupaslighthil. 私は平地を急いで歩いた時, あるは緩い坂道を登った時に息切れを感じる Iwalkslowerthanpeopleofthesameageon thelevelbecauseofbreathlessness,orihave tostopforbreathwhenwalkingonmyown paceonthelevel. 私は息切れのため同年齢の人よりもゆっくり歩く, あるいは, 私は自分自身のペースで平地を歩いているときに息継ぎのため立ち止まらなければならない. Istopforbreathafterwalkingabout100me tersorafterafew minutesonthelevel. 私は平地を約 100m あるいは数分間歩いた後, 息継ぎのため立ち止まる. Iam toobreathlesstoleavethehouseoriam 私は息切れが強くて外出できない, あるいは, 衣服の着脱だけでも息切れを感じる. From Ref.20. Table8 Six-pointratingMRCdyspneascale*anditstranslationintoJapnanese # Grade0 Grade1 Grade2 Grade3 Grade4 Grade5 Nobreathlessness Breathlesswithstrenuousexercise Shortofbreathwhenhurryingonthe levelorwalkingupaslighthil Walksslowerthanpeopleofthesame age on the level orstop forbreath whilewalkingatownpaceonthelevel Stopforbreathafterwalkingabout100 yardsorafterafew minutesonthelevel Toobreathlesstoleavethehouseor 息切れを感じない強い労作で息切れを感じる平地を急ぎ足で移動する, または緩やかな坂を歩いて登るときに息切れを感じる平地歩行でも同年齢の人より歩くのが遅い, または自分のペースで平地歩行していても息継ぎのため休む約 100 ヤード (91.4m) 歩行したあと息継ぎのため休む, または数分間, 平地歩行したあと息継ぎのため休む息切れがひどくて外出ができない, または衣服の着脱でも息切れがする * Englishversionfrom Ref.21. #Japanesetranslationfrom Ref.2and3.
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